{"id":29844,"date":"2023-04-30T21:27:22","date_gmt":"2023-04-30T14:27:22","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29844"},"modified":"2023-04-30T21:27:22","modified_gmt":"2023-04-30T14:27:22","slug":"cac-nghiem-phap-thay-doi-huyet-dong","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/cac-nghiem-phap-thay-doi-huyet-dong\/","title":{"rendered":"C\u00e1c nghi\u1ec7m ph\u00e1p thay \u0111\u1ed5i huy\u1ebft \u0111\u1ed9ng"},"content":{"rendered":"

Tr\u00ean th\u1ef1c t\u1ebf, c\u00e1c ch\u1ec9 s\u1ed1 huy\u1ebft \u0111\u1ed9ng \u0111\u00f3ng vai tr\u00f2 r\u1ea5t quan tr\u1ecdng \u0111\u1ed1i v\u1edbi s\u1ee9c kh\u1ecfe\u00a0tim m\u1ea1ch\u00a0c\u1ee7a ch\u00fang ta. M\u1ed9t trong s\u1ed1 \u0111\u00f3 ph\u1ea3i k\u1ec3 \u0111\u1ebfn ch\u1ec9 s\u1ed1 d\u00f9ng trong t\u1ea1o nh\u1ecbp \u0111\u00e1p \u1ee9ng t\u1ea7n s\u1ed1, ch\u00fang ho\u1ea1t \u0111\u1ed9ng d\u1ef1a tr\u00ean c\u00e1c c\u01a1 ch\u1ebf t\u1ea1o nh\u1ecbp quen thu\u1ed9c, v\u00ed d\u1ee5 nh\u01b0 VVI ho\u1eb7c DDD,\u2026\u00a0 B\u1edfi v\u00ec nh\u1eefng ph\u01b0\u01a1ng th\u1ee9c ho\u1ea1t \u0111\u1ed9ng tr\u00ean c\u00f3 ch\u1ee9c n\u0103ng li\u00ean quan t\u1edbi n\u00fat xoang v\u00e0 \u0111\u00e1p \u1ee9ng \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u ho\u1ea1t \u0111\u1ed9ng.<\/strong><\/p>\n

1. \u0110\u1ea1i c\u01b0\u01a1ng v\u1ec1 c\u00e1c nghi\u1ec7m ph\u00e1p thay \u0111\u1ed5i huy\u1ebft \u0111\u1ed9ng<\/strong><\/h2>\n

N\u1ebfu nghe th\u1ea5y ti\u1ebfng th\u1ed5i, m\u1ed9t s\u1ed1 nghi\u1ec7m ph\u00e1p thay \u0111\u1ed5i huy\u1ebft \u0111\u1ed9ng dynamic c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 khai th\u00e1c m\u1ed9t s\u1ed1 \u0111\u1eb7c \u0111i\u1ec3m kh\u00e1c c\u1ee7a ti\u1ebfng th\u1ed5i. Nh\u1eefng nghi\u1ec7m ph\u00e1p n\u00e0y thay \u0111\u1ed5i huy\u1ebft \u0111\u1ed9ng v\u00e0 do \u0111\u00f3 thay \u0111\u1ed5i c\u01b0\u1eddng \u0111\u1ed9 c\u1ee7a c\u00e1c ti\u1ebfng th\u1ed5i kh\u00e1c nhau. H\u00f4 h\u1ea5p c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ph\u00e2n bi\u1ec7t gi\u1eefa ti\u1ebfng th\u1ed5i tim ph\u1ea3i v\u00e0 tim tr\u00e1i. H\u00edt v\u00e0o c\u00f3 th\u1ec3 l\u00e0m t\u0103ng th\u1ec3 t\u00edch h\u1ed3i l\u01b0u t\u0129nh m\u1ea1ch v\u00e0 do \u0111\u00f3 gia t\u0103ng l\u01b0\u1ee3ng m\u00e1u v\u1ec1 ph\u00eda tim ph\u1ea3i c\u1ee7a tim, v\u00ec v\u1eady m\u00e0 ti\u1ebfng th\u1ed5i tim ph\u1ea3i s\u1ebd \u0111\u01b0\u1ee3c l\u00e0m n\u1ed5i b\u1eadt<\/strong>. Ng\u01b0\u1ee3c l\u1ea1i, khi th\u1edf ra <\/strong>s\u1ebd l\u00e0m cho c\u00e1c ti\u1ebfng th\u1ed5i tim tr\u00e1i to h\u01a1n.
\nM\u1ed9t nghi\u1ec7m ph\u00e1p h\u00f4 h\u1ea5p kh\u00e1c \u0111\u00f3 l\u00e0 th\u1edf ra s\u00e2u. Khi b\u1ec7nh nh\u00e2n c\u1ed1 g\u1eafng th\u1edf ra v\u00e0 k\u00e9o d\u00e0i th\u1eddi gian th\u1edf ra, \u0111\u00e1y tim s\u1ebd \u0111\u01b0\u1ee3c \u0111\u01b0a \u0111\u1ebfn g\u1ea7n th\u00e0nh ng\u1ef1c h\u01a1n. Trong nghi\u1ec7m ph\u00e1p n\u00e0y, ti\u1ebfng th\u1ed5i trong h\u1edf van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 \u0111\u01b0\u1ee3c nghe r\u00f5 h\u01a1n<\/p>\n

2. Nghi\u1ec7m ph\u00e1p Valsava.<\/h2>\n

V\u00e0o n\u0103m 1704, Antonio Maria Valsalva (1666-1723) \u0111\u00e3 gi\u1edbi thi\u1ec7u nghi\u1ec7m ph\u00e1p c\u1ee7a m\u00ecnh nh\u01b0 l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt \u0111\u1ec3 \u0111\u1ea9y m\u1ee7 ra kh\u1ecfi tai gi\u1eefa. Nghi\u1ec7m ph\u00e1p sau \u0111\u00f3 \u0111\u00e3 b\u1ecb l\u00e3ng qu\u00ean m\u00e3i \u0111\u1ebfn n\u0103m 1859, Weber s\u1eed d\u1ee5ng n\u00f3 \u0111\u1ec3 l\u00e0m thay \u0111\u1ed5i m\u1ea1ch \u0111\u1eadp theo \u00fd mu\u1ed1n. B\u1eaft \u0111\u1ea7u t\u1eeb nh\u1eefng n\u0103m 1950, nhi\u1ec1u nh\u00e0 nghi\u00ean c\u1ee9u kh\u00e1c \u0111\u00e3 b\u00e1o c\u00e1o r\u1eb1ng \u0111\u00e1p \u1ee9ng Valsalva b\u1ea5t th\u01b0\u1eddng r\u00f5 r\u1ec7t \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n suy tim sung huy\u1ebft.
\n<\/strong>\u0110\u00e2y l\u00e0 nghi\u1ec7m ph\u00e1p \u0111\u00e3 \u0111\u01b0\u1ee3c hi\u1ec3u r\u00f5 v\u00e0 th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng. Nghi\u1ec7m ph\u00e1p n\u00e0y l\u00e0m n\u1ed5i b\u1eadt ti\u1ebfng th\u1ed5i do b\u00eanh c\u01a1 tim ph\u00ec \u0111\u1ea1i v\u00e0 sa van hai l\u00e1 khi nghe \u1edf b\u1edd tr\u00e1i x\u01b0\u01a1ng \u1ee9c. Nghi\u1ec7m ph\u00e1p n\u00e0y g\u1ed3m c\u00f3 4 phase:
\nPhase I:<\/strong> B\u1eaft \u0111\u1ea7u nghi\u1ec7m ph\u00e1p, \u00e1p l\u1ef1c trong ng\u1ef1c gia t\u0103ng, k\u00e8m v\u1edbi gia t\u0103ng t\u1ea1m th\u1eddi trong cung l\u01b0\u1ee3ng tim v\u00e0 huy\u1ebft \u00e1p
\nPhase II:<\/strong> \u0110\u00e2y l\u00e0 giai \u0111o\u1ea1n n\u00e9n – straining c\u1ee7a nghi\u1ec7m ph\u00e1p. H\u1ed3i l\u01b0u t\u0129nh m\u1ea1ch gi\u1ea3m, v\u00e0 do \u0111\u00f3 l\u00e0m gi\u1ea3m lu\u00f4n cung l\u01b0\u1ee3ng tim v\u00e0 th\u1ec3 t\u00edch t\u1ed1ng m\u00e1u. Huy\u1ebft \u00e1p s\u1ebd gi\u1ea3m va t\u1ea7n s\u1ed1 tim t\u0103ng l\u00ean. H\u1ea7u h\u1ebft ti\u1ebfng th\u1ed5i s\u1ebd tr\u1edf n\u00ean y\u1ebfu h\u01a1n, nh\u01b0ng ti\u1ebfng th\u1ed5i t\u00e2m thu trong b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i s\u1ebd t\u0103ng v\u00e0 ti\u1ebfng th\u1ed5i do sa van hai l\u00e1 c\u00f3 th\u1ec3 nghe \u0111\u01b0\u1ee3c.
\nPhase III: <\/strong>Giai \u0111o\u1ea1n n\u00e0y l\u00e0 giai \u0111o\u1ea1n th\u1ea3 l\u1ecfng – release c\u1ee7a nghi\u1ec7m ph\u00e1p. Ti\u1ebfng th\u1ed5i tim ph\u1ea3i s\u1ebd l\u1edbn h\u01a1n trong m\u1ed9t kho\u1ea3ng th\u1eddi gian ng\u1eafn, sau \u0111\u00f3 l\u00e0 ti\u1ebfng th\u1ed5i tim tr\u00e1i.
\nPhase IV:<\/strong> Huy\u1ebft \u00e1p t\u0103ng do ho\u1ea1t h\u00f3a h\u1ec7 th\u1ed1ng th\u1ea7n kinh giao c\u1ea3m.<\/p>\n

3. Squatting<\/h2>\n

Squat l\u00e0 m\u1ed9t nghi\u1ec7m ph\u00e1p kh\u00e1c c\u00f3 th\u1ec3 g\u00e2y t\u0103ng h\u1ed3i l\u01b0u t\u0129nh m\u1ea1ch. Trong nghi\u1ec7m ph\u00e1p n\u00e0y, b\u1ec7nh nh\u00e2n nhanh ch\u00f3ng chuy\u1ec3n t\u1eeb t\u01b0 th\u1ebf \u0111\u1ee9ng sang t\u01b0 th\u1ebf squat. \u0110i\u1ec1u n\u00e0y h\u1ea7u h\u1ebft khi\u1ebfn ti\u1ebfng th\u1ed5i to h\u01a1n, bao g\u1ed3m c\u00f3 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p do h\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, h\u1edf van hai l\u00e1, trong khi \u0111\u00f3 th\u00ec ti\u1ebfng th\u1ed5i do b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i v\u00e0 sa van hai l\u00e1 th\u01b0\u1eddng nh\u1ecf v\u00e0 ng\u1eafn h\u01a1n. Khi b\u1ec7nh nh\u00e2n l\u00e0m ng\u01b0\u1ee3c l\u1ea1i, \u0111\u1ee9ng nhanh l\u00ean khi \u0111ang \u1edf t\u01b0 th\u1ebf squat, th\u00ec nh\u1eefng thay \u0111\u1ed5i ng\u01b0\u1ee3c l\u1ea1i x\u1ea3y ra.<\/p>\n

T\u01b0 th\u1ebf squatting:<\/p>\n

    \n
  • \u0110\u1ec3 m\u1eb7t th\u1eb3ng, m\u1eaft nh\u00ecn v\u1ec1 ph\u00eda tr\u01b0\u1edbc, \u0111\u1ea7u ng\u1ea9ng t\u1ef1 nhi\u00ean (kh\u00f4ng qu\u00e1 th\u1ea5p c\u0169ng kh\u00f4ng qu\u00e1 cao), hai tay \u0111an l\u1ea1i ho\u1eb7c song song tr\u01b0\u1edbc ng\u1ef1c;<\/li>\n
  • S\u1ed1ng l\u01b0ng th\u1eb3ng t\u1ef1 nhi\u00ean;<\/li>\n
  • Gi\u1eef ng\u1ef1c n\u1edf, vai m\u1edf r\u1ed9ng v\u00e0 b\u1ee5ng h\u00f3p l\u1ea1i.<\/li>\n<\/ul>\n
      \n
    • Ch\u00e2n.<\/strong>\u00a0B\u1ea1n \u0111\u1ee9ng th\u1eb3ng, hai ch\u00e2n dang r\u1ed9ng b\u1eb1ng hai vai, \u0111\u1ea7u g\u1ed1i m\u1edf r\u1ed9ng hai b\u00ean sao cho th\u1eb3ng h\u00e0ng v\u00e0 kh\u00f4ng nh\u00ecn th\u1ea5y m\u0169i ch\u00e2n. B\u1ea1n ch\u00fa \u00fd kh\u00f4ng n\u00ean \u0111\u1ec3 \u0111\u1ea7u g\u1ed1i qu\u00e1 h\u1eb9p hay v\u01b0\u1ee3t qu\u00e1 so v\u1edbi m\u0169i ch\u00e2n nh\u00e9!<\/li>\n
    • \u0110\u1ea7u g\u1ed1i.\u00a0<\/strong>Trong qu\u00e1 tr\u00ecnh chuy\u1ec3n \u0111\u1ed9ng l\u00ean xu\u1ed1ng, b\u1ea1n nh\u1edb h\u00e3y gi\u1eef chuy\u1ec3n \u0111\u1ed9ng c\u1ee7a kh\u1edbp g\u1ed1i.<\/li>\n
    • M\u00f4ng.\u00a0<\/strong>Khi h\u1ea1 ng\u01b0\u1eddi xu\u1ed1ng, b\u1ea1n k\u1ebft h\u1ee3p \u0111\u1ea9y h\u00f4ng v\u00e0 m\u00f4ng v\u1ec1 ph\u00eda sau, d\u1ed3n tr\u1ecdng l\u01b0\u1ee3ng v\u00e0o g\u00f3t ch\u00e2n thay v\u00ec m\u0169i ch\u00e2n.<\/li>\n
    • \"huyet-dong\"<\/li>\n<\/ul>\n

      4. G\u1eafng s\u1ee9c \u0111\u1ed1i kh\u00e1ng l\u1ef1c \u2013 isometric exercise<\/h2>\n


      \nG\u1eafng s\u1ee9c \u0111\u1ed1i kh\u00e1ng l\u1ef1c c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u201ckh\u00e1m ph\u00e1\u201d ra \u0111\u01b0\u1ee3c m\u1ed9t s\u1ed1 lo\u1ea1i ti\u1ebfng th\u1ed5i. \u0110\u1ed1i<\/em><\/strong> v\u1edbi nghi\u1ec7m ph\u00e1p n\u00e0y, b\u1ec7nh nh\u00e2n s\u1ebd n\u1eafm ch\u1eb7t tay trong v\u00f2ng n\u1eeda ph\u00fat. Nghi\u1ec7m ph\u00e1p n\u00e0y l\u00e0m gia t\u0103ng h\u1eadu g\u00e1nh (ho\u1eb7c t\u0103ng \u0111\u1ec1 kh\u00e1ng ngo\u1ea1i vi). Ti\u1ebfng th\u1ed5i c\u1ee7a h\u1edf van hai l\u00e1 s\u1ebd \u0111\u01b0\u1ee3c l\u00e0m n\u1ed5i b\u1eadt. Ti\u1ebfng th\u1ed5i c\u1ee7a h\u1eb9p \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 v\u00e0 b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i s\u1ebd y\u1ebfu h\u01a1n, trong khi \u0111\u00f3 ti\u1ebfng th\u1ed5i do sa van hai l\u00e1 s\u1ebd ng\u1eafn h\u01a1n.<\/p>\n

      5. Nghi\u1ec7m ph\u00e1p kh\u00e1c thay \u0111\u1ed5i huy\u1ebft \u0111\u1ed9ng<\/h2>\n\n\n\n\n\n\n\n
      Nghi\u1ec7m ph\u00e1p<\/strong><\/td>\nT\u00e1c \u0111\u1ed9ng l\u00ean d\u00f2ng m\u00e1u<\/strong><\/td>\nT\u00e1c \u0111\u1ed9ng l\u00ean ti\u1ebfng tim<\/strong><\/td>\n<\/tr>\n<\/thead>\n
      Amyl nitrit<\/td>\nL\u00e0m gi\u00e3n t\u00ednh m\u1ea1ch m\u1ea1nh, do \u0111\u00f3 gi\u1ea3m m\u00e1u t\u0129nh m\u1ea1ch v\u1ec1 tim ph\u1ea3i<\/td>\nT\u0103ng ti\u1ebfng th\u1ed5i do b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i t\u1eafc ngh\u1ebdn, h\u1eb9p ch\u1ee7 v\u00e0 sa van hai l\u00e1<\/p>\n

      Gi\u1ea3m ti\u1ebfng th\u1ed5i c\u1ee7a h\u1edf van hai l\u00e1.<\/td>\n<\/tr>\n

      H\u00edt v\u00e0o<\/td>\nGi\u1ea3m \u00e1p l\u1ef1c trong l\u1ed3ng ng\u1ef1c, \u0111\u1ed3ng th\u1eddi l\u00e0m t\u0103ng l\u01b0u l\u01b0\u1ee3ng t\u0129nh m\u1ea1ch v\u00e0o t\u00e2m th\u1ea5t ph\u1ea3i (RV) v\u00e0 gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng t\u0129nh m\u1ea1ch ph\u1ed5i v\u00e0o tim tr\u00e1i<\/td>\nL\u00e0m t\u0103ng c\u00e1c ti\u1ebfng t\u1eeb tim ph\u1ea3i (v\u00ed d\u1ee5, ti\u1ebfng th\u1ed5i c\u1ee7a h\u1eb9p\/h\u1edf van ba l\u00e1, ti\u1ebfng th\u1ed5i h\u1eb9p [t\u0103ng ngay l\u1eadp t\u1ee9c] ho\u1eb7c h\u1edf [th\u01b0\u1eddng l\u00e0m t\u0103ng] van \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i)<\/p>\n

      Gi\u1ea3m c\u00e1c ti\u1ebfng t\u1eeb tim tr\u00e1i<\/td>\n<\/tr>\n

      N\u1eafm ch\u1eb7t tay<\/td>\nT\u0103ng h\u1eadu g\u00e1nh v\u00e0 s\u1ee9c c\u1ea3n \u0111\u1ed9ng m\u1ea1ch ngo\u1ea1i vi<\/td>\nGi\u1ea3m ti\u1ebfng th\u1ed5i do h\u1eb9p ch\u1ee7, b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i t\u1eafc ngh\u1ebdn, sa van hai l\u00e1, ho\u1eb7c suy ch\u1ee9c n\u0103ng c\u01a1 nh\u00fa<\/p>\n

      T\u0103ng ti\u1ebfng th\u1ed5i do h\u1edf hai l\u00e1, h\u1edf ch\u1ee7 v\u00e0 ti\u1ebfng th\u1ed5i t\u00e2m tr\u01b0\u01a1ng c\u1ee7a h\u1eb9p hai l\u00e1<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

       <\/p>\n","protected":false},"excerpt":{"rendered":"

      Tr\u00ean th\u1ef1c t\u1ebf, c\u00e1c ch\u1ec9 s\u1ed1 huy\u1ebft \u0111\u1ed9ng \u0111\u00f3ng vai tr\u00f2 r\u1ea5t quan tr\u1ecdng \u0111\u1ed1i v\u1edbi s\u1ee9c kh\u1ecfe\u00a0tim m\u1ea1ch\u00a0c\u1ee7a ch\u00fang ta. M\u1ed9t trong s\u1ed1 \u0111\u00f3 ph\u1ea3i k\u1ec3 \u0111\u1ebfn ch\u1ec9 s\u1ed1 d\u00f9ng trong t\u1ea1o nh\u1ecbp \u0111\u00e1p \u1ee9ng t\u1ea7n s\u1ed1, ch\u00fang ho\u1ea1t \u0111\u1ed9ng d\u1ef1a tr\u00ean c\u00e1c c\u01a1 ch\u1ebf t\u1ea1o nh\u1ecbp quen thu\u1ed9c, v\u00ed d\u1ee5 nh\u01b0 VVI ho\u1eb7c […]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[],"yoast_head":"\nC\u00e1c nghi\u1ec7m ph\u00e1p thay \u0111\u1ed5i huy\u1ebft \u0111\u1ed9ng - Vinmec<\/title>\n<meta name=\"description\" content=\"Tr\u00ean th\u1ef1c t\u1ebf, c\u00e1c ch\u1ec9 s\u1ed1 huy\u1ebft \u0111\u1ed9ng h\u1ecdc \u0111\u00f3ng vai tr\u00f2 r\u1ea5t quan tr\u1ecdng \u0111\u1ed1i v\u1edbi s\u1ee9c kh\u1ecfe\u00a0tim m\u1ea1ch\u00a0c\u1ee7a ch\u00fang ta.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"C\u00e1c nghi\u1ec7m ph\u00e1p thay \u0111\u1ed5i huy\u1ebft \u0111\u1ed9ng - 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